Annemarie Bruen
Specialist in Lynbrook, NY. Individual provider (NPI-1).
NPI number1982967477
StatusActive
Last updated in NPPESJun 19, 2012
Details
- NPI
- 1982967477
- Entity type
- Individual (NPI-1)
- Name
- Annemarie Bruen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2012
- Last updated
- Jun 19, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 1754987 | NY | Yes |
Practice location
77 Monroe StLynbrook, NY 11563-2716
Phone 516-812-6633
Mailing address
77 Monroe StLynbrook, NY 11563-2716
Phone 516-812-6633
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